Individual
MRS. THERESA BOUQUET BECNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
116 TWIN OAKS DR, RACELAND, LA 70394-2760
(985) 537-7012
(985) 537-4145
Mailing address
174 LAKE MECHANT CT, HOUMA, LA 70360-8325
(985) 851-5365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00386
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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